Objective:To investigate the effects of electroacupuncture at Baliao points combined with intermittent catheterization on voiding function and quality of life in patients with lower motor neurogenic urinary retention(...Objective:To investigate the effects of electroacupuncture at Baliao points combined with intermittent catheterization on voiding function and quality of life in patients with lower motor neurogenic urinary retention(LMNUR).Methods:Ninety patients with LMNUR were randomly assigned to an observation group and a control group using the random number table method,with 45 cases in each group.Both groups received intermittent catheterization,while the observation group additionally underwent electroacupuncture at Baliao points.At the end of the treatment course,the recovery time of spontaneous urination was compared between the two groups.Bladder residual urine volume,spontaneous urination volume,bladder function score,short-form health survey-Qualiveen(SF-Qualiveen)score,and positive rate of urinary leukocytes were compared before treatment,after 8 weeks of treatment,and at the 24th week after treatment.The incidence of adverse events during treatment was also compared.Results:The recovery time of spontaneous urination in the observation group came significantly earlier than that in the control group(P<0.05).In both groups,bladder residual urine volume and positive rate of urinary leukocytes decreased over time,while spontaneous urination volume increased over time(P<0.05).After 8 weeks of treatment,the observation group showed a significantly smaller bladder residual urine volume and a lower positive rate of urinary leukocytes,bladder function score,and SF-Qualiveen score,as well as a significantly larger spontaneous urination volume,compared to the control group(P<0.05).At the 24th week after treatment,bladder residual urine volume in the observation group remained significantly smaller than that in the control group(P<0.05).Conclusion:Electroacupuncture at Baliao points combined with intermittent catheterization can effectively improve voiding dysfunction in LMNUR patients,enhance self-care ability,and has high safety.展开更多
Contextualization: Emptying the bladder is a challenging problem for the urological community. Intermittent catheterization is the most widely used method to restore bladder emptying mechanism. However, this procedure...Contextualization: Emptying the bladder is a challenging problem for the urological community. Intermittent catheterization is the most widely used method to restore bladder emptying mechanism. However, this procedure can have a negative impact on self-image and result in a decline in the quality of life of patients. In this context, the use of a bladder emptying device (SVCATH3D) proposes to be effective and have a positive impact on the quality of life of different patients. Objective: The objective of the study was to evaluate the functionality of a new device for both intermittent and controlled emptying of the bladder in both sexes and ages. Materials and methods: A randomized clinical trial was conducted with 251 patients, with different bladder problems, from March 2013 to January 2023. After randomization, the patients were divided into two groups: Group I (SVCATH3D) and Group II (Clean Intermittent Catheterization). The primary outcome was defined as the impact on quality of life. Data on episodes of urinary tract infection, adverse effects, number of diaper use and treatment costs were analyzed. Results: The apposition of the SVCATH3D was performed on an outpatient basis, with no complications during the procedures. The patients were followed up for 10 years. There was a significant improvement in quality of life when comparing the moments before and after the use of SVCATH3D (p Conclusion: The study using SVCATH3D showed promising results in relation to functionality, showing improvement in quality of life with a reduction in episodes of urinary infection and amount of diapers/day. This allows us to conclude that SVCATH3D can represent an important step in the treatment of patients suffering from various bladder problems both incontinence and affecting emptying mechanism.展开更多
Objective: To compare the short-time complications associated with time-opening suprapubic catheter (SPT) versus intermittent catheter (IC) in male patients with spinal cord injury (above level C5). Methods: A prospec...Objective: To compare the short-time complications associated with time-opening suprapubic catheter (SPT) versus intermittent catheter (IC) in male patients with spinal cord injury (above level C5). Methods: A prospective review of records was carried out to identify SCI patients managed with SPT or IC between 2011 and 2016. The complications included renal function (Serum creatinine), urinary tract infection (UTI), bladder stones, urethral complications, scrotal, and gross hematuria. Patients were followed at week 4, 3 and 6 months;the urodynamic assessment was repeated at 6 months. Results: A total of 30 patients (11 SPT, 19 IC) were recruited in this trial. There is no significant difference between the two catheter groups for the entire out-come. Scrotal abscesses and urethral stricture were only seen in patients with IC. Conclusions: SPT has similar urological complication with IC for SCI patients (above level C5) except the incidence of scrotal abscesses and urethral stricture.展开更多
Objective: to explore the effect of simple bladder volume-pressure measurement technology and its effect on the quality of life.Methods: choose computer random method from June 2020 to June 2022, 68 cases of hospital ...Objective: to explore the effect of simple bladder volume-pressure measurement technology and its effect on the quality of life.Methods: choose computer random method from June 2020 to June 2022, 68 cases of hospital stroke neurogenic bladder patients are divided into two groups, a control group, a total of 34 patients, the implementation of intermittent catheterization, the other is observation group, there are 34 cases, on the basis of control group treatment, increase the simple bladder capacity-pressure measurement technique.Compare the various clinical indicators.Results: the data of the observed group were better than the control group showed in Table 1-Table 4, with P < 0.05. Conclusion: the application of simple bladder volume-pressure measurement technology in neurogenic bladder combined with intermittent catheterization can help restore autonomous urination, reduce the incidence of symptomatic urinary tract infection, help increase bladder capacity, reduce residual urine volume, and higher quality of life for patients, which is worthy of practice in various medical institutions.展开更多
文摘Objective:To investigate the effects of electroacupuncture at Baliao points combined with intermittent catheterization on voiding function and quality of life in patients with lower motor neurogenic urinary retention(LMNUR).Methods:Ninety patients with LMNUR were randomly assigned to an observation group and a control group using the random number table method,with 45 cases in each group.Both groups received intermittent catheterization,while the observation group additionally underwent electroacupuncture at Baliao points.At the end of the treatment course,the recovery time of spontaneous urination was compared between the two groups.Bladder residual urine volume,spontaneous urination volume,bladder function score,short-form health survey-Qualiveen(SF-Qualiveen)score,and positive rate of urinary leukocytes were compared before treatment,after 8 weeks of treatment,and at the 24th week after treatment.The incidence of adverse events during treatment was also compared.Results:The recovery time of spontaneous urination in the observation group came significantly earlier than that in the control group(P<0.05).In both groups,bladder residual urine volume and positive rate of urinary leukocytes decreased over time,while spontaneous urination volume increased over time(P<0.05).After 8 weeks of treatment,the observation group showed a significantly smaller bladder residual urine volume and a lower positive rate of urinary leukocytes,bladder function score,and SF-Qualiveen score,as well as a significantly larger spontaneous urination volume,compared to the control group(P<0.05).At the 24th week after treatment,bladder residual urine volume in the observation group remained significantly smaller than that in the control group(P<0.05).Conclusion:Electroacupuncture at Baliao points combined with intermittent catheterization can effectively improve voiding dysfunction in LMNUR patients,enhance self-care ability,and has high safety.
文摘Contextualization: Emptying the bladder is a challenging problem for the urological community. Intermittent catheterization is the most widely used method to restore bladder emptying mechanism. However, this procedure can have a negative impact on self-image and result in a decline in the quality of life of patients. In this context, the use of a bladder emptying device (SVCATH3D) proposes to be effective and have a positive impact on the quality of life of different patients. Objective: The objective of the study was to evaluate the functionality of a new device for both intermittent and controlled emptying of the bladder in both sexes and ages. Materials and methods: A randomized clinical trial was conducted with 251 patients, with different bladder problems, from March 2013 to January 2023. After randomization, the patients were divided into two groups: Group I (SVCATH3D) and Group II (Clean Intermittent Catheterization). The primary outcome was defined as the impact on quality of life. Data on episodes of urinary tract infection, adverse effects, number of diaper use and treatment costs were analyzed. Results: The apposition of the SVCATH3D was performed on an outpatient basis, with no complications during the procedures. The patients were followed up for 10 years. There was a significant improvement in quality of life when comparing the moments before and after the use of SVCATH3D (p Conclusion: The study using SVCATH3D showed promising results in relation to functionality, showing improvement in quality of life with a reduction in episodes of urinary infection and amount of diapers/day. This allows us to conclude that SVCATH3D can represent an important step in the treatment of patients suffering from various bladder problems both incontinence and affecting emptying mechanism.
文摘Objective: To compare the short-time complications associated with time-opening suprapubic catheter (SPT) versus intermittent catheter (IC) in male patients with spinal cord injury (above level C5). Methods: A prospective review of records was carried out to identify SCI patients managed with SPT or IC between 2011 and 2016. The complications included renal function (Serum creatinine), urinary tract infection (UTI), bladder stones, urethral complications, scrotal, and gross hematuria. Patients were followed at week 4, 3 and 6 months;the urodynamic assessment was repeated at 6 months. Results: A total of 30 patients (11 SPT, 19 IC) were recruited in this trial. There is no significant difference between the two catheter groups for the entire out-come. Scrotal abscesses and urethral stricture were only seen in patients with IC. Conclusions: SPT has similar urological complication with IC for SCI patients (above level C5) except the incidence of scrotal abscesses and urethral stricture.
文摘Objective: to explore the effect of simple bladder volume-pressure measurement technology and its effect on the quality of life.Methods: choose computer random method from June 2020 to June 2022, 68 cases of hospital stroke neurogenic bladder patients are divided into two groups, a control group, a total of 34 patients, the implementation of intermittent catheterization, the other is observation group, there are 34 cases, on the basis of control group treatment, increase the simple bladder capacity-pressure measurement technique.Compare the various clinical indicators.Results: the data of the observed group were better than the control group showed in Table 1-Table 4, with P < 0.05. Conclusion: the application of simple bladder volume-pressure measurement technology in neurogenic bladder combined with intermittent catheterization can help restore autonomous urination, reduce the incidence of symptomatic urinary tract infection, help increase bladder capacity, reduce residual urine volume, and higher quality of life for patients, which is worthy of practice in various medical institutions.
